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A Comprehensive Study of the Dynamic Interaction Between Normal Labor Pain and Maternal Anxiety Levels: A Multivariable Approach to Analyzing Psychophysiological Influences and Subjective Perceptions Wijayanegara, Hidayat; H. R., Teni Nurlatifah; Rowawi, Roni; Herawati, Yanti
ENDLESS: INTERNATIONAL JOURNAL OF FUTURE STUDIES Vol. 5 No. 2 (2022): ENDLESS : International Journal of Future Studies
Publisher : Global Writing Academica Researching & Publishing

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Abstract

Normal labor is a complex physical and emotional experience for a mother, with pain being a major element in this process. The interaction between labor pain and maternal anxiety levels is an aspect that requires in-depth understanding, given its influence on the psychophysical well-being of both mother and baby. Although the scientific literature has highlighted the importance of pain and anxiety management during labor, comprehensive studies that consider the psychophysiological and subjective perceptual influences on this dynamic interaction are limited. Therefore, this study aimed to explore the relationship between pain in normal labor and maternal anxiety levels through a multivariable approach. This research method uses a quantitative approach with an analytic observational research type. The research design was conducted prospectively. This research method involves maternal respondents who experience normal labor, with data collection through measuring anxiety levels using standardized questionnaires and psychophysiological analysis using objectively measured parameters. In addition, a multivariable approach was used to analyze the complexity of the interaction between the variables involved. The sample size was 100 laboring mothers, randomly selected from the population of mothers who met the inclusion criteria. The population was mothers giving birth at TPMB Midwife Delima in Bandung City. Using cluster sampling, only 40 pomegranate midwives (10 sub-districts) were taken from a total of 127 pomegranate midwives from 30 sub-districts. The results showed that the average level of pain during labor reached 6.8 with an average duration of 8 hours. The average maternal anxiety level reached 55 on a scale of 0-100. A significant correlation was found between pain and anxiety (r = 0.68, p < 0.05), while psychophysiological influences such as frequency of uterine contractions and blood pressure also played a role in the experience of pain. Social support was also shown to influence anxiety levels (p = 0.005). These findings illustrate the complexity of interactions between psychophysiological and social aspects in the context of normal labor, providing a basis for the development of more targeted intervention strategies in the management of maternal pain and anxiety. The conclusion of this study shows that there is a significant relationship between pain in normal labor and maternal anxiety levels. Psychophysiological influences, such as frequency of uterine contractions and blood pressure, as well as social support, play an important role in determining the mother's experience during labor. Therefore, increased attention to pain management and provision of adequate social support may be key to reducing maternal anxiety levels. A suggestion for health practitioners is to strengthen efforts to integrate holistic pain management strategies and enhance aspects of social support during normal labor, in the hope of improving the mother's overall emotional and physical well-being.
The effect of differences in the management of mild pain with and without hypnotherapy speakers in post-operative cancer patients Sugiyono, Iis; Suardi, Achmad; Suryani, Suryani; Anwar, Anita Deborah; Rowawi, Roni; Wijayanegara, Hidayat
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 12, No 4 (2024)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2024.12(4).490-503

Abstract

Background: Cancer, a prevalent non-communicable disease globally and in Indonesia, poses significant health challenges. Pain, a frequent and dreaded symptom in cancer patients, can severely impact their functional abilities, quality of life, and elevate stress levels within families. Non-pharmacological approaches to pain management, like hypnotherapy, offer safe, affordable, and readily applicable solutions.Objectives: This research seeks to evaluate the impact of varying approaches to managing mild pain, specifically comparing the use of hypnotherapy speakers versus their absence, in post-operative cancer patients at RSPAD Gatot Soebroto during the period from December 2023 to January 2024.Methods: This quantitative study employs a Quasi-Experimental design with a Two Group Pretest-Posttest format. The research took place in the Obstetrics Ward on the second floor of PIS RSPAD Gatot Soebroto from December 16, 2023, to January 17, 2024. A total of 44 participants were included, divided into a control group and an intervention group. Data collection was carried out using observation sheets and universal pain assessment tools. Descriptive statistics were analyzed using univariate analysis, and normality tests were performed before conducting bivariate analysis to assess data distribution.Results: The research revealed a notable decrease in pain scores following the use of hypnotherapy speakers. Initially, the average pain score was 2.59 (SD=0.59) prior to the therapy, which dropped to 0.73 (SD=0.83) post-therapy. Both the administration of Paracetamol alone and in combination with hypnotherapy speakers significantly alleviated pain in patients with ovarian and cervical cancer (p<0.001). Moreover, a significant difference was observed between the intervention and control groups in the post-test results (p=0.004).Conclusions: These results suggest that combining Paracetamol with hypnotherapy speakers is more effective at alleviating pain in patients with ovarian and cervical cancer than using Paracetamol alone. This study serves as a valuable reference for future research on the utilization of hypnotherapy speakers and offers practical guidance for midwives to adopt hypnotherapy speakers to expedite pain relief in cancer patients.
The Effectiveness of using Special Labor Clothing on the Comfort Level of Multigravida Women Giving Birth in Parturition at Sultan Thaha Saifuddin Regional Hospital, Tebo, Jambi Province 2023 Aprilia Murita Ningsih; Roni Rowawi; Elsa Puji Mediastuti; Bellia Loranthifolia; Ida Suryani
Jurnal Multidisiplin Sahombu Vol. 6 No. 03 (2026): Jurnal Multidisiplin Sahombu, 2026
Publisher : Sean Institute

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Abstract

This study aims to determine the differences and analyze the effectiveness of the use of special maternity clothing on the comfort level of multigravida mothers in labor at Sultan Thaha Saifuddin Tebo Regional Hospital. This study uses a quantitative method with a "Cross Sectional" approach, researchers measure variables at one time. Respondent statistical test analysis uses the T test with a paired t-test approach. This study was conducted in June-July 2023 in the delivery room of Sultan Thaha Saifuddin Tebo Regional Hospital on multigravida mothers in labor. The sampling technique used was purposive sampling according to the inclusion and exclusion criteria with a sample size of 33 multigravida mothers. The instrument in this study was a questionnaire about maternal comfort in undergoing the labor process. Bivariate analysis in this study was conducted to determine the effectiveness of the use of special maternity clothing on the level of maternal comfort in undergoing the labor process. The results of the study showed differences after the use of special maternity clothing can increase the comfort of multigravida mothers in labor. The use of maternity clothing yielded results (sig. 0.000, meaning <0.05). This indicates that the use of maternity clothing is highly effective, as seen from the post-test score of 44.1200, which is greater than the pre-test score of 37.2100, indicating a significant difference in the level of maternal comfort during labor. Conclusion: Maternity clothing is effective in improving the comfort of multigravida mothers in labor at Sultan Thaha Saifuddin Hospital, Tebo, 2023.